Novo Nordisk
Wegovy
semaglutide
- Form
- Pen · Tablet
- Lowest self-pay
- $149/month
- 1.5 mg tablets, 30 per month
Pen $349 a month, or $199 for a new patient's first 2 fills
Checked10/18/2026
Self-pay price board
What GLP-1 pens and pills cost without insurance
The lowest monthly price each maker publishes for people paying cash, read off the maker's own page and dated. The number first, then what moves it.
Board checked 10/18/2026by the Rx For Ohio desk
- Eli Lilly
Zepbound
tirzepatide
- Form
- KwikPen · Vial · Pen
- Lowest self-pay
- $299/month
- 2.5 mg KwikPen or 4 vials, 28 days
$399 at 5 mg; $449 at 7.5 to 15 mg if you refill within 45 days
Checked10/18/2026 - Novo Nordisk
Ozempic
semaglutide
- Form
- Pen · Tablet
- Lowest self-pay
- $149/month
- Ozempic pill, lowest of 3 dose prices
Pen $349 (0.25 to 1 mg) or $499 (2 mg); $199 intro
Checked10/18/2026 - Eli Lilly
Mounjaro
tirzepatide
- Form
- Pen
- Lowest self-pay
- $499/month
- single-dose pen, any strength
Same starting price at every strength, 2.5 to 15 mg
Checked10/18/2026 - Novo Nordisk
Rybelsus
semaglutide
- Form
- Tablet
- Lowest self-pay
- Not listed
- no self-pay program price published
Being replaced by the Ozempic pill: $149 to $299 a month
Checked10/18/2026
"Lowest self-pay" is the cheapest monthly price on the maker's self-pay page, often for the starting strength. Higher strengths can cost more. It is not a suggestion about which product or strength to use.
| Source | What it says | Date checked | Link |
|---|---|---|---|
| NovoCare, Wegovy pricing page (Novo Nordisk) | Pen $349/month (0.25 to 2.4 mg), HD 7.2 mg $399, pill $149 to $299; $199 intro for new patients through 12/31/2026; list price $1,349.02/package | Checked 10/18/2026 | Open: NovoCare, Wegovy pricing page (Novo Nordisk) |
| LillyDirect, Zepbound page (Eli Lilly) | KwikPen or vials: $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg) with refill within 45 days; regular $499 to $699 | Checked 10/18/2026 | Open: LillyDirect, Zepbound page (Eli Lilly) |
| NovoCare Pharmacy, Ozempic page (Novo Nordisk) | Pen $349/month for 0.25, 0.5 or 1 mg and $499 for 2 mg; $199 intro; Ozempic pill $149, $199 or $299 by dose; card as little as $25, max $100/month | Checked 10/18/2026 | Open: NovoCare Pharmacy, Ozempic page (Novo Nordisk) |
| LillyDirect, Mounjaro page (Eli Lilly) | Single-dose pen, every strength 2.5 to 15 mg: self-pay starting at $499/month | Checked 10/18/2026 | Open: LillyDirect, Mounjaro page (Eli Lilly) |
| NovoCare, Rybelsus page (Novo Nordisk) | Rybelsus is being replaced by the Ozempic pill; no Rybelsus self-pay price; Ozempic pill will have the same coverage as Rybelsus | Checked 10/18/2026 | Open: NovoCare, Rybelsus page (Novo Nordisk) |
| Novo Nordisk savings offer and self-pay terms (Ozempic and Rybelsus) | Rybelsus card: as little as $25 with commercial coverage, max $100 per 1-month fill, excludes full cash-paying patients; Ozempic pill self-pay $149 to $299 | Checked 10/18/2026 | Open: Novo Nordisk savings offer and self-pay terms (Ozempic and Rybelsus) |
Compare
List price, self-pay price and savings cards, side by side
The list price is what the maker charges wholesalers. It's rarely what you pay at the counter.
Wegovy
- List price per month
- $1,349.02 per package (pen, HD pen or pill)
- Self-pay program price
- Pen $349; HD 7.2 mg $399; pill $149 to $299
- Savings card, commercial plans
- As little as $25; max saving $100 a month
- Medicare Part D note
- In the Medicare GLP-1 Bridge: $50 a month if eligible, with prior authorization
Zepbound
- List price per month
- $1,087 (the 'original' price TrumpRx shows)
- Self-pay program price
- KwikPen or vials $299 to $449; regular price up to $699
- Savings card, commercial plans
- Pen: as little as $25; max $100 a month, $1,300 a year
- Medicare Part D note
- Bridge covers the KwikPen only, not the single-dose pen or vials
Ozempic
- List price per month
- $1,027.51 per pen (NovoCare's phone layout still shows $997.58)
- Self-pay program price
- Pen $349 or $499 (2 mg); pill $149 to $299
- Savings card, commercial plans
- As little as $25; max saving $100 a month
- Medicare Part D note
- Not in the Bridge. Type 2 diabetes requests go to your Part D plan
Mounjaro
- List price per month
- $1,112.16 per 4 pens (TrumpRx 'original'); Lilly's own page blocked our check
- Self-pay program price
- $499 a month, every strength
- Savings card, commercial plans
- As little as $25; max $150 a month, $1,950 a year
- Medicare Part D note
- Lilly says about 8 in 10 Part D patients pay $0 to $50 per 28 days
Rybelsus
- List price per month
- No current Novo page (checked 10/18/2026); $675 for 7 and 14 mg from 01/01/2027
- Self-pay program price
- None; the Ozempic pill replacing it is $149 to $299
- Savings card, commercial plans
- As little as $25; max $100 a month; not for cash payers
- Medicare Part D note
- Not in the Bridge's list of covered drugs
A month means the maker's own supply unit: 4 weekly pens, 1 multi-dose pen or 30 tablets. Savings cards exclude Medicare, Medicaid and other government plans.
checked 10/18/2026| Source | What it says | Date checked | Link |
|---|---|---|---|
| NovoCare, Wegovy pricing page (Novo Nordisk) | Pen $349/month (0.25 to 2.4 mg), HD 7.2 mg $399, pill $149 to $299; $199 intro for new patients through 12/31/2026; list price $1,349.02/package | Checked 10/18/2026 | Open: NovoCare, Wegovy pricing page (Novo Nordisk) |
| CMS, Medicare GLP-1 Bridge: information for prescribers (June 2026) | Covers Foundayo tablets, Wegovy injection and tablets, Zepbound KwikPen; not the single-dose Zepbound pen or vials; type 2 diabetes, sleep apnea and MASH go to the Part D plan | Checked 10/18/2026 | Open: CMS, Medicare GLP-1 Bridge: information for prescribers (June 2026) |
| TrumpRx.gov (US government) | Wegovy pen $199/mo and pill $149/mo (original $1,349); Ozempic $199/mo (original $1,028); Zepbound $299/mo (original $1,087) | Checked 10/18/2026 | Open: TrumpRx.gov (US government) |
| LillyDirect, Zepbound page (Eli Lilly) | KwikPen or vials: $299 (2.5 mg), $399 (5 mg), $449 (7.5 to 15 mg) with refill within 45 days; regular $499 to $699 | Checked 10/18/2026 | Open: LillyDirect, Zepbound page (Eli Lilly) |
| Zepbound coverage and savings page (Eli Lilly) | Single-dose pen with coverage: as little as $25, max $100 per 1-month fill, $1,300/year; cards end 12/31/2026; Bridge $50 for eligible Part D | Checked 10/18/2026 | Open: Zepbound coverage and savings page (Eli Lilly) |
| NovoCare, Ozempic list price page (Novo Nordisk) | $1,027.51 per pen and per pill strength on the desktop layout; the page's phone layout still shows $997.58 | Checked 10/18/2026 | Open: NovoCare, Ozempic list price page (Novo Nordisk) |
| NovoCare Pharmacy, Ozempic page (Novo Nordisk) | Pen $349/month for 0.25, 0.5 or 1 mg and $499 for 2 mg; $199 intro; Ozempic pill $149, $199 or $299 by dose; card as little as $25, max $100/month | Checked 10/18/2026 | Open: NovoCare Pharmacy, Ozempic page (Novo Nordisk) |
| TrumpRx.gov, Mounjaro page (US government) | Single-dose pen, every strength: $499 against an 'original price' of $1,112.16 | Checked 10/18/2026 | Open: TrumpRx.gov, Mounjaro page (US government) |
| LillyDirect, Mounjaro page (Eli Lilly) | Single-dose pen, every strength 2.5 to 15 mg: self-pay starting at $499/month | Checked 10/18/2026 | Open: LillyDirect, Mounjaro page (Eli Lilly) |
| Mounjaro savings page (Eli Lilly) | With coverage: as little as $25, max $150 per 1-month fill, $1,950/year; card ends 12/31/2026; about 8 in 10 Part D patients pay $0 to $50 per 28 days (IQVIA data) | Checked 10/18/2026 | Open: Mounjaro savings page (Eli Lilly) |
| NovoCare, Rybelsus page (Novo Nordisk) | Rybelsus is being replaced by the Ozempic pill; no Rybelsus self-pay price; Ozempic pill will have the same coverage as Rybelsus | Checked 10/18/2026 | Open: NovoCare, Rybelsus page (Novo Nordisk) |
| Novo Nordisk savings offer and self-pay terms (Ozempic and Rybelsus) | Rybelsus card: as little as $25 with commercial coverage, max $100 per 1-month fill, excludes full cash-paying patients; Ozempic pill self-pay $149 to $299 | Checked 10/18/2026 | Open: Novo Nordisk savings offer and self-pay terms (Ozempic and Rybelsus) |
| Novo Nordisk news release, 02/24/2026 | List price of Wegovy, Ozempic and Rybelsus to fall to $675 per month, effective 01/01/2027; self-pay prices not affected | Checked 10/18/2026 | Open: Novo Nordisk news release, 02/24/2026 |
Coverage
Who pays: four questions to answer before you pay cash
A plan, Medicare or a savings card can beat the cash price. Check these first.
Medicare
Does Medicare pay for weight-loss GLP-1s now?
Some Part D enrollees can get Wegovy, Foundayo or the Zepbound KwikPen for a $50 copay through the Medicare GLP-1 Bridge, from 07/01/2026 to 12/31/2027. Your prescriber needs prior authorization, and the $50 doesn't count toward your Part D deductible.
Source: CMS, Medicare GLP-1 Bridge page, CMS, Medicare GLP-1 Bridge: information for prescribers
Zepbound and insurance
Does my commercial plan's coverage change the Zepbound price?
Yes. If your plan covers the single-dose pen, Lilly's card can bring a fill down to $25, capped at $100 off a month. If your plan doesn't cover it, LillyDirect sells the KwikPen and vials for $299 to $449 a month; the $449 price at higher strengths needs a refill within 45 days.
Source: Zepbound coverage and savings page, LillyDirect, Zepbound page
Appeals
My plan said no. Can I appeal?
You have the right to ask your plan to review a denial, and then to ask for an independent outside review. Keep the denial letter: it tells you why the plan said no and what it wants to see.
HSA and FSA
Can I pay for a GLP-1 from my HSA or FSA?
IRS rules count prescribed medicines as medical expenses. NovoCare Pharmacy takes FSA and HSA cards at checkout, but Novo's self-pay terms bar claiming the cost back later from a health care reimbursement account, so pay with the card up front. LillyDirect marks Mounjaro as FSA/HSA eligible, adding that eligibility may vary by plan.
Source: IRS Publication 502, NovoCare Pharmacy, Wegovy page, Wegovy savings and self-pay offer terms, LillyDirect, Mounjaro page
Change log
Latest price changes
Old price in red, new price in green, with the date it took effect.
- 01/01/2027scheduled
Wegovy list price (2.4 mg pen, 25 mg pill)
Announced 02/24/2026. Novo says self-pay prices don't change. Source
was $1,349.02now $675 - 01/01/2027scheduled
Ozempic list price (0.5, 1 and 2 mg)
Announced 02/24/2026, about 35% lower per Novo. Source
was $1,027.51now $675 - 07/01/2026
Wegovy and Zepbound KwikPen for eligible Medicare Part D enrollees
Medicare GLP-1 Bridge starts; runs to 12/31/2027. Source
now $50 copay
- 05/04/2026
Ozempic pill, self-pay (replaces Rybelsus in the US)
Per 30 tablets by strength; Rybelsus never had a NovoCare self-pay price. Source
now $149 to $299
- 12/01/2025
Zepbound vials, LillyDirect self-pay (2.5 mg)
Same day: 5 mg $499 to $399; 7.5 to 15 mg $499 to $449. Source
was $349now $299
Price checks
Full breakdowns
- ZepboundHow does the Zepbound savings card work?Lilly's card does two jobs: a $25 copay when your plan covers the single-dose pen, and a cash price when it doesn't. Both end on 12/31/2026 under the current terms.$25per 1-month fill at best; the card takes off $100 at mostReviewed 10/18/2026
- ZepboundHow much is Zepbound without insurance?$299 at 2.5 mg, $399 at 5 mg and $449 above that, as long as you reorder within 45 days. Here's the full price ladder and what changes it.$299per 28-day supply, 4 dosesReviewed 10/18/2026
- WegovyHow does the Wegovy savings card work?It can turn a $110 copay into $25. It barely dents a $600 deductible bill, and anyone on Medicare is shut out.$25per 1-month fill at best; the card takes off $100 at mostReviewed 10/18/2026
- WegovyHow much is Wegovy without insurance?$349 per 28-day box of pens at Novo Nordisk's cash price. Here's what moves that number, and what to check before you pay.$349per 28-day supply, 4 pensReviewed 10/18/2026
- TirzepatideWhat does tirzepatide cost per mg?We divided every Lilly cash price by the milligrams in the box. The spread is wide, and the cheapest milligram depends on refilling on time.$7.48per mg ($449 for 60 mg, refilled within 45 days)Reviewed 10/18/2026
- RybelsusHow much does Rybelsus cost now?Novo Nordisk never sold Rybelsus through its cash-price pharmacy, and the tablet is being replaced by the Ozempic pill at $149 to $299 a month. Here's what that means for your bill.$149Ozempic pill, per month, 30 tabletsReviewed 10/18/2026
- OzempicHow much does Ozempic cost without insurance?$349 a month for most pens through Novo Nordisk's self-pay offer, $499 for the 2 mg pen. Here's the full price list and where the savings card stops helping.$349per month, 1 pen (28 days)Reviewed 10/18/2026
- MounjaroHow much does Mounjaro cost without insurance?$499 for a month of single-dose pens, whatever the strength. Here's what the list price looks like, and when the savings card beats paying cash.$499per month, 4 pens, any strengthReviewed 10/18/2026
- Coverage guideDoes Medicare cover Wegovy?Two routes with different rules: your Part D plan for heart risk, and the $50 Medicare GLP-1 Bridge for weight. Here's which one fits you and what each costs.$50copay per 28- or 30-day fill, if eligibleReviewed 10/18/2026
- Coverage guideDoes insurance cover Zepbound?Whether your plan pays depends on its fine print and your diagnosis. Here's what a real prior authorization policy asks for, and what Zepbound costs if the answer is no.$25at best, per 28-day fill; the card takes off up to $100Reviewed 10/18/2026
- Coverage guideCan you use your HSA or FSA to pay for Wegovy?IRS rules say yes when a doctor prescribes it to treat a diagnosed disease. The catch is in how you pay on Novo's $349 self-pay offer.$349per 28-day supply, 4 pensReviewed 10/18/2026
- Coverage guideHow do you appeal a GLP-1 insurance denial?You get at least one internal appeal, and most plans then owe you an outside review. The clock starts when the denial letter arrives.$0per review (a state process can charge up to $25)Reviewed 10/18/2026
- Compounded semaglutideWhat did compounded semaglutide cost, and what changed?One large telehealth company advertised compounded GLP-1 plans from $199, then $165, a month. Here's why those prices existed, and what FDA has done since.$199reported 2024, per month, as low as, annual planReviewed 10/18/2026
